
Operational efficiencies aided EBITDA,which grew by 14% year-on-year while the overall occupancy also improved. However, average revenue per occupied bed (ARPOB) declined amid an increase in average length of stay (ALOS) and new bed additions. The company operates 19 hospitals (and five outpatient clinics) across six cities. It has a bed capacity of 1,935 with over 835 doctors.

It is benefitting from the growing paediatric healthcare market. Also, India’s low spending on childcare products and services, high birth rate compared to China and the United States, increasing maternity age, increased focus on preventive healthcare, and expansion of medical tourism are some of the tailwinds. Rainbow is distinctive from its peers as it offers the highest number of beds in paediatric intensive care units and neonatal intensive care units. It operates on a hub-and-spoke model (the central hospital delivers comprehensive outpatient and inpatient care whereas the satellite facilities provide emergency care) that helps in lowering costs.

The operating model focuses on a multi-disciplinary approach with a unique doctor engagement. The doctors work exclusively on a full-time, retainer basis and follow a collaborative team approach for patient care. Moreover, the company enjoys lower capex per bed as most of the paediatric cases are non-surgical and, therefore, the spending on expensive medical equipment is low.
The company allocates significant capex towards the interiors of hospitals to create a children-friendly environment. Analysts list cost optimisation through centralised procurement of medical equipment, focus on tertiary and quaternary paediatrics that ensure higher ARPOB and diversification of geographical footprint as the key strongholds of the company.
A recent Prabhudas Lilladher report says that the company enjoys higher margins, strong FCF generation and healthy return ratios because of the asset-light hub-and-spoke model. Also, its strategic expansion across its core markets in South India augurs well for its sustainable growth. The report expects return ratios to improve with the ramp-up of new capacities. The stock price has modestly outperformed the market benchmark in the last one year with 3.8% returns compared to BSE Sensex with 2% returns.
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